| NPI | 1811327117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: WI 2377-057) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 2377-057) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |